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印度临床医生对高血压管理方法的看法:一项横断面研究。

Indian Clinician's Perspective on the Approach to the Management of Hypertension: A Cross-Sectional Study.

作者信息

Ram C Venkat S, Muruganathan A, S Manjula, Kumar M Krishna

机构信息

Hypertension and Blood-Pressure Management Clinic, Apollo Hospitals, Hyderabad, IND.

Department of Public Health, Shristy AG Hospital, Tirupur, IND.

出版信息

Cureus. 2024 Apr 1;16(4):e57435. doi: 10.7759/cureus.57435. eCollection 2024 Apr.

Abstract

Introduction Hypertension (HTN) is considered one of the most frequent life-threatening noncommunicable illnesses. Because HTN has a significant public health impact on cardiovascular health status and healthcare systems in India, it is critical to study Indian clinicians' approaches to HTN management. Methodology This was a cross-sectional, multicentric, non-interventional, and single-visit study that aimed to gather data from across India and examine sociodemographic characteristics and clinician treatment choices in the management of HTN in Indian individuals. As a result, building an information platform about HTN is critical to preventing and controlling this growing burden. Results A total of 5298 patients were recruited in the study from 1061 study centers across India. Among the study patients, 66.67% were females with a mean age of 53.95 ± 14.4, and 66.28% of hypertensive patients presented comorbidities. Among the known risk factors for HTN, 2227 (44.5%) were smokers, while 2587 (51.7%) had sedentary lifestyles. A family history of HTN in either one or both parents was seen in 1076 (21.50%) patients. In management, 40.40% of patients were on anti-hypertensive monotherapy. Amlodipine (41.8%) in monotherapy and amlodipine + metoprolol (32.34%) in combination therapy were the most commonly prescribed antihypertensive. Conclusion Management of HTN can be improved by imparting patient education and awareness about the need for medication compliance, lifestyle modifications, and regular follow-up clinic visits.

摘要

引言

高血压(HTN)被认为是最常见的危及生命的非传染性疾病之一。由于高血压对印度的心血管健康状况和医疗系统具有重大的公共卫生影响,研究印度临床医生对高血压管理的方法至关重要。

方法

这是一项横断面、多中心、非干预性的单次就诊研究,旨在收集全印度的数据,并研究印度个体高血压管理中的社会人口学特征和临床医生的治疗选择。因此,建立一个关于高血压的信息平台对于预防和控制这一日益加重的负担至关重要。

结果

该研究从印度各地的1061个研究中心招募了总共5298名患者。在研究患者中,66.67%为女性,平均年龄为53.95±14.4岁,66.28%的高血压患者患有合并症。在高血压的已知风险因素中,2227名(44.5%)为吸烟者,而2587名(51.7%)有久坐不动的生活方式。1076名(21.50%)患者有父母一方或双方患有高血压的家族史。在治疗方面,40.40%的患者接受抗高血压单药治疗。单药治疗中最常用的是氨氯地平(41.8%),联合治疗中最常用的是氨氯地平+美托洛尔(32.34%)。

结论

通过对患者进行药物依从性、生活方式改变和定期门诊随访必要性的教育和提高认识,可以改善高血压的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25b/11063652/0679d0eac754/cureus-0016-00000057435-i01.jpg

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